FASA

Reliability and Usefulness of the Single Leg Heel Raise Balance Test in Patients with Chronic Ankle Instability⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Researchers sought to analyze the differences in static (including conventional and modified [single-leg heel-raise balance]) and dynamic postural stability and muscle endurance between patients with chronic ankle instability (CAI) and healthy controls and to determine the reliability and usefulness of the single-leg heel-raise balance test in patients with CAI. Twenty-six patients with CAI and 26 healthy controls were enrolled. Postural stability was assessed using a postural stabilometry system. Muscle endurance was measured in dorsiflexion and plantarflexion using an isokinetic device. Modified static postural stability and dynamic postural stability were significantly poorer in the affected ankles of patients with CAI than in the controls. Plantarflexion endurance was significantly lower in the affected ankles of the patients with CAI than in the controls. Modified static postural stability significantly correlated with plantarflexion endurance in both groups. Researchers said given the reliability of the modified static postural stability test, clinicians and therapists should consider using it to assess improvements in postural stability and muscle endurance in patients with CAI before and after rehabilitation.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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From the article of the same title⠀⠀⠀⠀⠀⠀⠀⠀⠀
Scientific Reports (10/13/21) Lee, Jin; Jung, Hae; Jung, Taek; et al.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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https://www.nature.com/articles/s41598-021-99466-8
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Arthroscopic Decompression and Grafting of a Symptomatic Posterior Talar Body Bone Cyst: Case Report and Literature Review
Sara Yancovitz, DPM (1)
Nathaniel Preston, DPM, FACFAS (2)
(1) Resident Physician, Grant Medical Center, Columbus, OH, USA
(2) Executive Director, Foot & Ankle Specialists Australia, Melbourne, Australia

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Literature Review:
Unicameral bone cysts (UBC) are common benign non-neoplastic lucent bone lesions filled with fluid that enlarge over time and thin the adjacent bone cortices (1, radiopaedia.org) These lesions are almost exclusively found in children and adolescents between the ages of 3 to 14 years of age, and are over twice as frequent in males than females (Mascard). UBCs are typically found in the metaphysis of long bones with an open physis especially the proximal humerus and femur; however, they have been diagnosed in almost every bone including tarsal bones and the calcaneus. (2) Though rare, UBCs can be seen in unusual locations such as the talus (radio*).

UBCs are most often asymptomatic and are incidental findings and may resolve on their own as a patient approaches skeletal maturity. The most frequent clinical presentation of a symptomatic UBC is pain, stiffness, swelling, with a concomitant pathologic fracture (Mascard). The pathogenesis of this cyst is largely unknown, though it is postulated to arise as a defect during bone growth that creates a cavity filled with fluid. The cyst is located adjacent to the physis during its active phase, and migrates away when it is latent (**). Because the cortical bone is weakened by the cyst, a traumatic event can result in a pathologic fracture.

Read more on our blog 👉https://www.fasa.net.au/blog/arthroscopic-management-of-a-posterior-talar-body-bone-cyst

Join us tonight! 8:00pm AEDT⠀⠀⠀⠀⠀⠀⠀⠀⠀
APodA Hosts | Webinar - Achilles Tendinopathy: assessment, conservative and surgical management. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Presented by FASA’s A/Prof Mark Gilheany and Dr Nathaniel Preston⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Learning Outcomes:⠀⠀⠀⠀⠀⠀⠀⠀⠀
Apply and expand your understanding and transferable clinical skills in the management of retrocalcaneal pain and Achilles’ pathology⠀⠀⠀⠀⠀⠀⠀⠀⠀
Enhance your diagnostic skills including guidance to selection of targeted imaging⠀⠀⠀⠀⠀⠀⠀⠀⠀
Develop care plans which facilitate a pragmatic approach to management.⠀⠀⠀⠀⠀⠀⠀⠀⠀
Develop your understanding of the indications and philosophy of surgical care.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Registration link in bio! ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

Health professionals >> head over to our practitioner portal for specialist case support, multiple educational programs developed by our team to enhance your skills and specialised practice and monthly evidence based information via our mailing list.
Link in bio!

Join AProf Mark Gilheany and Dr. Nathaniel Preston Wednesday, October 6th at 8:00pm (AEDT) as they present an APodA Webinar - Achilles Tendinopathy: assessment, conservative and surgical management.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Retrocalcaneal pain and Achilles’ pathology present as one of the most challenging and potentially debilitating conditions we are asked to manage. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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“Is the pain due to insertional calcific change? Is it a mid-portion longitudinal tear? What do these variations mean in terms of the management options available for your patients”.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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The webinar seeks to develop skills in clinical reasoning leading to a structured treatment pathway for these conditions and will include case examples and a panel discussion with particular focus on the below learning intentions;⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Learning Outcomes⠀⠀⠀⠀⠀⠀⠀⠀⠀
-Apply and expand your understanding and transferable clinical skills in the management of retrocalcaneal pain and Achilles’ pathology⠀⠀⠀⠀⠀⠀⠀⠀⠀
-Enhance your diagnostic skills including guidance to selection of targeted imaging⠀⠀⠀⠀⠀⠀⠀⠀⠀
-Develop care plans which facilitate a pragmatic approach to management.⠀⠀⠀⠀⠀⠀⠀⠀⠀
-Develop your understanding of the indications and philosophy of surgical care.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Register now 👉Link in bio!⠀⠀⠀⠀⠀⠀⠀⠀⠀
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https://www.podiatry.org.au/events/event/apoda-hosts-webinar-achilles-tendinopathy-assessment-conservative-and-surgical-management

Meet Dr. Nathaniel Preston - VIC, NSW & QLD⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Dr. Nathaniel Preston attended the Kent State University College of Podiatric Medicine in the United States graduating with his Doctorate in Podiatric Medicine in 2014. He was recognized by the faculty and awarded the Michael L. Stone Award for his contributions to the College.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Dr. Preston then completed a 3 year residency in Foot and Ankle Reconstructive Surgery at Grant Medical Center; a level one trauma center located in Columbus, Ohio, USA. He was elected Chief Resident in his final year and served as both the Secretary and Legislative Action Point of Contact for the Ohio Foot and Ankle Medical Association Central Academy. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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He is a recognized expert in Foot and Ankle surgical Reconstruction having published peer-reviewed research in multiple renowned medical journals including the Journal of the American Podiatric Medical Association, the Journal of Foot & Ankle Surgery, and Foot & Ankle Specialist. ⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Dr. Preston is committed to individualized patient care, and strives to evaluate and treat every patient specific to their distinct presentation.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Dr. Preston has completed the American Academy of Foot & Ankle Osteosynthesis Comprehensive Internal Fixation Course, the American Academy of Foot & Ankle Osteosynthesis Advanced Internal Fixation Course, and the American College of foot & Ankle Surgeons Operative Arthroscopy Course.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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Dr. Preston is a fellow of the American College of Foot and Ankle Surgery, a diplomate of the American Board of Podiatric Medicine, and is board certified by the American Board of Foot and Ankle Surgery in both foot surgery, as well as Reconstructive Rearfoot and Ankle Surgery.

Mini-open Arthroplasty for Anterior Ankle Impingement
Steven R Edwards , Mark F Gilheany , Nicholas D Ryan
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Osseous or soft tissue impingement of the anterior ankle can result in reduced dorsiflexion, pain and difficulty in walking that can significantly reduce the quality of life. Sometimes, conservative treatments fail & surgical intervention may be indicated.
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A 34-year-old male, who sustained a severe ankle injury five years earlier whilst waterskiing, complained of ongoing pain & disability. His initial injury had resulted in multiple fracture fragments within the anterior & posterior aspects of his right ankle. Upon performing clinical examination, reduced dorsiflexion with crepitus was noted and plain film radiographs exhibited multiple fragments within the anterior & posterior aspects of his ankle joint. Pain & limitation to motion were primarily affecting the anterior joint. The posterior aspect was only mildly symptomatic & not considered a primary consideration. Treatment involved a mini-open arthroplasty with removal of the osteophytes & margination of the chondral defects. Adequate dorsiflexion without crepitus was noted on the operating table & postoperative radiographs showed adequate removal of the osteophytes. He was kept non-weight bearing in a fibreglass back slab for 10 days before resuming partial weight bearing in a postoperative shoe & crutches.
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Mini-open arthroplasty may offer a viable alternative to large incision joint procedures or arthroscopy & may be a procrastinatory procedure for patients wishing to delay ankle joint arthrodesis or replacement.
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https://www.fasa.net.au/blog/article-003
https://www.researchgate.net/publication/350430436_Mini-open_Arthroplasty_for_Anterior_Ankle_Impingement

AProf Mark Gilheany and guest speaker Dr. Nathaniel Preston took a time-out from clinic to lecture at La Trobe University this week.
FASA considers it a privilege to have the opportunity to contribute to the next generation of Australian podiatry.

Check out our updated website 👉www.fasa.net.au

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We are still seeing consults either in clinic or remotely via telehealth and have the appropriate precautions in place to protect our team and our patients.⠀⠀⠀⠀⠀⠀⠀⠀⠀
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